NICOLE SUE HALL PA-C
NPI 1699335026
Physician Assistant in Sacramento, CA

Active since June 18, 2019PECOS EnrolledAccepts Medicare Assignment
8110 TIMBERLAKE WAY, SACRAMENTO, CA 95823(916) 689-4111 Get Directions Write a Review

NPPES record last updated: January 3, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 3, 2022, Jun 18, 2019 (2 updates tracked since 2019).

About Nicole Sue Hall Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NICOLE SUE HALL PA-C (NPI 1699335026) is an individual physician assistant in Sacramento, California, licensed in California (56323) and active in the NPI registry since June 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1699335026
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameNICOLE SUE HALLCredential: PA-C
Location Address8110 TIMBERLAKE WAYSacramento, CA 95823-5401
Mailing Address600 Kentucky St, P.o. Box 924Fairfield, CA 94533-8202 · (707) 712-9000
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateJune 18, 2019
Last NPPES UpdateJanuary 3, 20222 updates tracked since enumeration
NPI 1699335026 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in CA · 56323
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
8110 TIMBERLAKE WAY, Sacramento, CA 95823

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Nicole Sue Hall Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3173850104
PECOS Enrollment IDI20190813002623
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95823 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$92.61 typical visit price
range $60.44 – $180.85
Typical copayment $23.15 (range $15.11 – $45.21)
Most-billed visit code 99203
Established Patient
$75.03 typical visit price
range $19.88 – $148.15
Typical copayment $18.75 (range $4.97 – $37.03)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 13

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physician Assistant
8110 TIMBERLAKE WAY
SACRAMENTO, CA 95823
Nurse Practitioner (Family)
8110 TIMBERLAKE WAY
SACRAMENTO, CA 95823
Nurse Practitioner (Family)
8110 TIMBERLAKE WAY
SACRAMENTO, CA 95823
Nurse Practitioner (Family)
8110 TIMBERLAKE WAY
SACRAMENTO, CA 95823
Nurse Practitioner (Family)
8110 TIMBERLAKE WAY
SACRAMENTO, CA 95823
Nurse Practitioner (Family)
8110 TIMBERLAKE WAY
SACRAMENTO, CA 95823
Family Medicine
8110 TIMBERLAKE WAY
SACRAMENTO, CA 95823
Nurse Practitioner (Family)
8110 TIMBERLAKE WAY
SACRAMENTO, CA 95823

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Nicole Hall's NPI number?

The NPI number for Nicole Hall is 1699335026. It was assigned to this individual provider in the NPPES registry on June 18, 2019.

Where is Nicole Hall located?

Nicole Hall practices at 8110 Timberlake Way, Sacramento, CA 95823. The listed phone number is (916) 689-4111.

What is Nicole Hall's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Nicole Hall enrolled in Medicare?

Yes. Nicole Hall is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Nicole Hall was last updated on January 3, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.